Hello there!
As a first-year at Duke I think I'm obliged to give some more perspective to this topic. I really wish I were at Second Look but unfortunatedly I just got my wisdom teeth taken out and I'm pretty sure I wouldn't have been much help
Ok, I think that there are a couple of issues that need to be addressed, and the first is the diversity in interests of the class. Yes it's true that you have to be focused and driven at Duke...you have to be if you want to survive the first year! But the fact is that you don't have to get honors and be the top. I think that maybe you met some of the members of the class that do think that way. I would say that that attitude has decreased among my classmates as the year has progressed and that's just because you have to have a balanced life if you want to stay sane!!
Our class is pretty diverse, and there are lots of opportunities to pursue other interests. I think the main point is that, like anywhere else, if you are interested in doing something you WILL find it, but you have to invest the energy to LOOK for it! This is true for community service. Sure, there are not many events that the whole class will take part in, but there are opporutinities in the community. For example, I've been volunteering this year at the Peds ward playing with kids and keeping them company for three hours every week. Plus, we have a small program where we pair up first-year students with long-term inpatients in the peds ward to be "big buddies". That's a medically related community service activity, but there are others as well.
Our class also has tons of students that are creatively bent, and who pursue those interests as well. One student writes and records his own music, another is the chair second violin in the Duke Symphony Orchestra, another is a drummer in an all med-student band which performs regularly in local night clubs, another was a professional artist and yet another student just paints for fun; a group of students go to yoga classes on campus and also at a nearby dance studio, yet others take ballroom and modern dance classes, and we have even a student who was on track to be an opera singer! My point is that there is a variety of interests in our class, and people do find time and energy to spend on things that they love OUTSIDE of med school.
As for the short summer break, yes I agree the first year doesn't have much time to go abroad. However, there are opportunities to spend the ENTIRE third year abroad doing research (clinical or basic science!) I betcha that you won't get that anywhere else!! And, even though the first year's schedule seems kind of hectic, realize that it's all worth it for the third year! And also, it's kind of cool that you don't have class ever again! (plus of course the opportunity to graduate with a double degree...)
I hope this clears up some issues, and if you have any questions, let me know!